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8339 Uppsatser om Clinical research - Sida 1 av 556

Innovationsprojekt i en klinisk miljö : Utvecklandet av en designprocess för Sister Kenny Research Center

The Sister Kenny Research Center is part of the Sister Kenny Rehabilitation Institute locatedat the Abbott Northwestern hospital in Minneapolis, USA. The Sister Kenny RehabilitationInstitute provides rehabilitative services, treating more than 70,000 patients a year.The Sister Kenny Research Center strives to optimize the service to patients by nurturingnew innovations in rehabilitation care and treatment. Research projects are conducted ininterdisciplinary so-called Clinical Innovation Teams. As the Sister Kenny Research Center isrecently started, it did not prior to this thesis project have a design process or structured way ofworking in design projects.The outcome of this thesis project is a comprehensive innovation strategy package with a set oftools to enhance the innovativeness at the Sister Kenny Research Center. The strategy packageconsists of three interlinked parts:?A design process adapted to the work environment at the Sister Kenny Research Centerensuring projects are conducted in a structured and innovative manner.?An Innovation Handbook describing the design process to the Clinical Innovation Teamsand providing step-by-step guidance to designing.

Sjukgymnasters syn på en ny behandlingsmetod med vibrationsträning som exempel: en kvalitativ studie

The aim of the study has been to investigate physiotherapists? view on a new method of treatment in physiotherapy. In this case we have studied Whole Body Vibration training as an example of a new method of treatment. Semistructured interviews were performed with five physiotherapists. The study was carried out as a qualitative content analysis study.

Sjuksköterskestudenters upplevelser av handledning under verksamhetsförlagd utbildning VFU : en empirisk undersökning

Background: The education for becoming a registered nurse in Sweden includes compulsory time for clinical practice. The clinical education means an essential part in the students? personal development. According to regulation for nurses, a registered nurse has the responsibility to supervise nurse students during their clinical placement.Aim:. The aim of the examination was to describe nurse students´ experiences of supervision during clinical education.Method: The study was an empirical examination based on interviews with seven nurse students.Results: The result showed that nurse students wanted to be seen and treated as colleagues, but not used as labour.

Sjuksköterskors informationssökning i yrkesvardagen: barriärer och lösningar. Intervjustudie ur ett användarperspektiv med vidareutbildade sjuksköterskor.

This thesis investigates clinical nurses? information seekingand information use through semi-structured interviews withsix nurse practitioners, nurses with further education.Previous research shows that nurses have problemsimplementing evidence-searching at the clinic because oforganization, stress and heritage of an old practice that doesnot incorporate the academic education.The theoretical framework consists of T.D. Wilson?sinformation seeking behavior model and R.H. Orr?s model ofinformation needs.

Klinisk gradering av hästens luftvägsstatus : en jämförande studie av kliniska graderingsprotokoll samt deras relation till luftvägshälsa och neutrofilförekomst i BAL-vätska

Respiratory disease with airway inflammation as main characteristic is common in the horse. It is a syndrome that is not yet fully understood. The etiology, pathogenesis and classification into different disease states are subjects for discussion and under continuous revision. Despite a number of modern techniques, the diagnostic procedure is challenging. There is no test considered to be gold standard when diagnosing these diseases.

"Att orka vara själavårdare" : En jämförande studie av copingresurser i pastoralkliniskt och kontextuellt själavårdsparadigm.

This study aims to find coping resources in two different paradigms of pastoral care using coping theory from the psychology of religion. The intention is to find coping resources that are functional coping strategies to help priests and chaplains in their work with pastoral care. The research questions are: What coping resources can be found in the pastoral clinical paradigm and the contextual paradigm? What are the differences and similarities? The method used is template analysis style where the theories form a framework for the material used to analyse in this study. The theories used for this study are religious coping theory and pastoral care theory.

Innebörden av god handledning bland sjuksköterskestudenter i verksamhetsförlagd utbildning

Supervision has a strong impact on students` professional development. It is during clinical education that students will receive help in linking theory and practice. This study aimed to describe the meaning of good supervision among nursing students in clinical practice. A qualitative design was used. Nine nursing students in western Sweden, who had all experienced good supervision in clinical practice, were interviewed.The interviews were analyzed using a descriptive phenomenological methodology.The meaning of the phenomenon, good supervision in clinical education among nursing students, was shown as the students were gradually piloted to increased responsibility.

Motstånd - inte tröst. En studie om förståelsen av motståndsbegreppet

Based on hermeneutic tradition, the goal of this thesis is to further my understanding of what the concept of resistance means in a psychoanalytical context today, primarily within clinical practice. My methodology has been to seek an understanding of the concept of resistance by reading excerpts from the original texts of Sigmund Freud, as well as conducting interviews with practicing psychoanalysts that focus on how they relate to the notion of resistance. The idea was to then present my understanding of these sources in relation to one another. The results suggest that an understanding of the concept of resistance in a clinical context is highlighted by a dichotomy between theory and practice..

Tre metoder för diagnos av mastit i fält :

The objective of this work was to evaluate and compare three field methods for detection of mastitis, California Mastits Test (CMT), DeLaval cell counter DCC (DCC) and FMA2001 Farm Milk Analyzer (FMA2001). Furthermore, to investigate at what cell count level clinical symptoms of mastitis are seen, and finally to check if the clinical findings and cell counts could be related to bacteriological findings. DCC and FMA2001 are new analytic instruments to be used on dairy farms for detection of mastitis. CMT has been a widely used cow-side-test of milk quality in mastitis control efforts, but it cannot be used for estimating cell counts in scientific studies or investigations. Two hundred and eight quarter milk samples from 52 cows were analysed with DCC and CMT, and 168 of these samples with FMA2001. Microbiological examination was done on 38 milk samples with CMT scores of 4 and 5.

Tillförlitlighet i klinisk användning för två förståelighetstest på svenska för barn i åldrarna 4-10 år

Intelligibility is a central concept in speech-language pathology regarding assessment and treatment of speech. At present, there is no reliable or valid Swedish test for measuring intelligibility. The main purpose of the current study was to conduct a clinical trial of the computer-based intelligibility test ?Swedish test of intelligibility for children? and to investigate the test?s reliability. Another purpose was to investigate the reliability of the rating form ?Intelligibility in context scale?.

Stuttering Severity Instrument 3: Svensk översättning och utprövning

The main purpose of this study was to translate Stuttering Severity Instrument 3 and to evaluate its reliability and validity. Five speech-language pathologists assessed 35 adults who stutter with this assessment tool. Overall the results showed a very high inter- and intrarater reliability. A highly significant correlation between Stuttering Severity Instrument 3 and ratings of severity, made by the speech-language pathologists, strengthen the validityof Stuttering Severity Instrument 3. No correlation was found between the total score of Stuttering Severity Instrument 3 and the self-report measure Overall Assessment of the Speaker's Experience of Stuttering, whichindicates a lack of social validity in Stuttering Severity Instrument 3.

Sjuksköterskans omvårdnadsåtgärder vid cancer hos barn - en litteraturstudie

Every year 300 children in Sweden are diagnosed with cancer, but through research and successful clinical work 70 % of the children survive their cancer. Aim: To illuminate nursing care of children with cancer. Method: The study was carried out as a general literature study through systematic review and analyse of 18 scientific articles. Result: The analysis resulted in five themes: Support, play as a psychological assistance, alternatives to alleviation of pain, nutrition and relieving symptoms of fatigue.Conclusion: It is important that the nurse has knowledge about the children and their family?s experiences when dealing with a cancer illness to provide the children with adequate care.

Föräldraprogrammet De otroliga åren i klinisk praxis: En utvärdering med långtidsuppföljning

The purpose of this study was to examine the impact of the parent training The Incredible Years in clinical settings. The study included 33 families in clinical practice. There were two parts to the study; a main part with a before and after measurement, and a follow-up study on 12 children one year later. On baseline the children (3-9 years) as a group were on the borderline clinical range, (M = 61.8), with 70 % of the children in the borderline or clinical range. The childrens emotional and behavioral problems were measured with Child Behavior Checklist (CBCL).

Livsstilsförändringar vid osteoartrit hos katt

Background: Osteoarthritis is understood to be a common cause of pain and dysfunction in cats; however there are few validated pain assessment methods for chronic pain in cats. In order to design a proper pain questionnaire, it usability need to be tested in both sound and sick cats. Aim: The aim was to investigate the usability of the pain questionnaire ?Lifestyle changes in cats? by compiling the results from the pain questionnaire reflecting the lifestyle in 30 healthy cats and compare it to the results from a clinical examination, as well as proposing improvements and additions to the questionnaire based on a literature review. Material and method: 30 healthy cats participated in the pilot study; the pet owner filled out a pain questionnaire with 16 questions regarding their cat´s behavioral and eventual changes in behavior and physical function. Thereafter the cat walked over a pressure measurement mat and finally underwent an orthopedic-directed clinical examination. The literature was found on Web of Knowledge, PubMed, Sciencedirect, and Google Scholar and also with the help of my supervisors.

Posttraumatisk stress hos universitetsstudenter i Lund

Posttraumatic Stress Disorder (PTSD) is an anxiety disorder resulting from exposure to a traumatic event. The purpose of this study was to examine the exposure to Potentially Traumatic Events (PTE) and the prevalence of PTSD among students at the University of Lund. Sexdifferences among these variables were also examined. Using surveys as research method, 380 students from five different faculties participated. The results indicated that these students have been more exposed to PTE than the general Swedish population.

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